In my office in North Carolina in the United States, every week, 70-100 people contact me through e-mail, fax and letters. In my free time or after finishing work, I personally read through all the inquiries. Priority goes to urgent surgical cases. For extremely urgent cases, patients will get a direct email or phone call. However, the number of inquiries is enormous, so it is difficult to reply to everyone timely even though I try my best to do so. Year round, I perform surgeries as well as academic lectures, so the earliest I can reply is in 1-2 weeks and sometimes it can take much longer. I appreciate your cooperation and keep in mind that I try my best to get to everyone.